HAMID SALAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

HAMID

Last Name

SALAM

Business Name

HAMID SALAM

Original Issue Date

12/12/1994

Effective Date

12/12/1994

Expiration Date

07/31/2005

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006